涎腺内镜治疗慢性颌下腺炎的疗效评价

The evaluation of endoscopic treatment for chronic submaxillaritis

目的:评价涎腺内镜在慢性颌下腺炎诊疗中的临床效果。方法:应用涎腺内镜对107例(109侧)慢性颌下腺炎进行诊治,了解其导管壁和导管内变化,明确发病原因。对非阻塞性病例,进行导管加压冲洗扩张术及庆大霉素灌注;对阻塞性病例,去除阻塞物(结石、异物、脓栓等)。术后随诊,以颌下腺是否复发肿胀为判断依据,评价近期疗效及远期疗效。结果:107例中有105例成功进行了107侧颌下腺导管的内镜检查和治疗。96例在术后进行了随诊,随诊期2个月～5年,平均32月。3月内无复发肿胀81例。结论:涎腺内镜是评价涎腺导管疾病的可行性技术,并且诊断和治疗可同步进行,并发症少,疗效较好。

Objective：To evaluate the effect of salivary gland endoscopic treatment in chronic submaxillaritis.Method：107 patients（109 sides）with chronic submaxillaritis were treated with catheter treatment by salivary gland endoscopy,and change of the duct wall was detected and recorded.non-blocking cases were treated with catheter dilation,pressure,washing and gentamicin perfusion,obstructive cases were treated with removing the obstruction（stones,foreign bodies,pus suppository,etc.）.All cases were followed up to evaluate short and long term effect of the treatment by detecting swelling of submandibular gland.Result：There were 105 patients successfully underwent the salivary gland endoscopic treatment of 107 sides of submandibular gland duct,and 96 cases were followed up after surgery,the period of followed up ranged from 2 months to 5 years,with an average of 32 months,81 cases without recurrence in 3 months.Conclusion：Salivary endoscopy was a feasible technology to diagnose and treat the salivary gland duct disease,and there was few complication.